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CLINICAL PHARMACOLOGY Mechanism Of Action Peginterferon alfa-2b is a pleiotropic cytokine; the mechanism by which it exerts its effects in patients with melanoma is unknown. Pharmacokinetics The pharmacokinetics was studied in 32 patients receiving adjuvant therapy for melanoma with SYLATRON according to the recommended dose and schedule (6 mcg/kg/week for 8 doses, followed by 3 mcg/kg/week thereafter). At a dose of 6 mcg/kg/week once weekly, the geometric mean Cmax was 4.4 ng/mL (CV 51%) and the geometric mean AUCtau was 430 ng•hr/mL (CV 35%) at week 8. The mean terminal half-life was approximately 51 hours (CV 18%). The mean accumulation from week 1 to week 8 was 1.7. After administration of 3 mcg/kg/week once weekly, the mean geometric Cmax was 2.5 ng/mL (CV 33%) and the geometric mean AUCtau was 228 ng•hr/mL (CV 24%) at week 4. The mean terminal half-life was approximately 43 hours (CV 19%). Renal Impairment Renal clearance accounts for approximately 30% of total peginterferon alfa-2b clearance. The effect of renal impairment on the pharmacokinetics of peginterferon alfa-2b was studied in 24 subjects with normal or impaired renal function after a single 4.5 mcg/kg dose. Compared to subjects with normal renal function (CLcr > 80 mL/min/1.73 m²), the geometric mean AUClast to peginterferon alfa-2b increased by 1.4-fold in subjects with moderate renal impairment (CLcr 30 to 50 mL/min/1.73m²) and 2.1-fold in subjects with severe renal impairment (CLcr < 30 mL/min/1.73m²) or ESRD requiring dialysis [see Use in Specific Populations]. No clinically meaningful amounts of peginterferon alfa-2b were removed during hemodialysis following a single 1 mcg/kg dose in subjects with renal impairment. Drug Interactions Peginterferon alfa-2b inhibits CYP1A2 and CYP2D6 activity. In a drug interaction study, healthy subjects received a dose of 200 mg of caffeine (CYP1A2 substrate), 2 mg of midazolam (CYP3A4 substrate), 500 mg of tolbutamide (CYP2C9 substrate), or 50 mg of desipramine (CYP2D6 substrate) before and after two doses of SYLATRON administered subcutaneously at a dose of 3 mcg/kg. The geometric mean AUClast was increased by 36% for caffeine and 30% for desipramine when coadministered with SYLATRON compared to caffeine or desipramine administered alone. No clinically meaningful changes in CYP2C9 activity and CYP3A4 activity were observed. [See DRUG INTERACTIONS] Clinical Studies The safety and effectiveness of SYLATRON were evaluated in an open-label, multicenter, randomized (1:1) study conducted in 1256 patients with surgically resected, AJCC Stage III melanoma within 84 days of regional lymph node dissection. Patients were randomized to observation (no therapy) (n=629) or to SYLATRON (n=627) at a dose of 6 mcg/kg by subcutaneous injection once weekly for 8 doses followed by a 3 mcg/kg subcutaneous injection once weekly for a period of up to 5 years total treatment. The dose of SYLATRON was adjusted to maintain an ECOG Performance Status of 0 to 1. The median age of the population was 50 years with 11% of patients 65 years or older, and 42% were female. Forty percent of the study population had microscopic, nonpalpable nodal involvement and 59% had clinically palpable nodes prior to lymphadenectomy. A total of 54% of subjects had one pathologically positive lymph node, 34% had 2 to 4 positive nodes, and 12% had 5 or more. Most subjects had no second primary lesion (98%). Ulceration of the primary lesion was present in 30% of subjects (52% had no ulceration of the primary lesion, and the status was missing/unknown for 18% of subjects). The most common sites were the trunk (43%) or the leg (32%). Eighty-four percent had an International Prognostic Index (IPI) score of 0 and 16% had an IPI score of 1. The main outcome measure was relapse-free survival (RFS), defined as the time from randomization to the earliest date of any relapse (local, regional, in-transit, or distant), or death from any cause. Secondary outcome measures included overall survival. Patients in the SYLATRON arm received 6 mcg/kg/week for a median of 8.0 weeks. Less than 1% of patients took longer than 9 weeks to complete the 6 mcg/kg/week dosing regimen. Approximately one-third (36%) of patients required dose reductions and 29% of patients required a dose delay, with an average delay of 1.2 weeks, during the initial 8 weeks of SYLATRON. Ninety-four patients (16%) did not continue on to the 3 mcg/kg/week dosing regimen. Patients who continued on SYLATRON after the initial 8 doses, received 3 mcg/kg/week for a median duration of treatment of 14.3 months. Approximately half (52%) of the patients underwent dose reductions and 70% required dose delays (average delay 2.2 weeks). Based on 696 RFS events, determined by the Independent Review Committee, median RFS was 34.8 months (95% CI: 26.1, 47.4) and 25.5 months (95% CI: 19.6, 30.8) in the SYLATRON and observation arms, respectively. The estimated hazard ratio for RFS was 0.82 (95% CI: 0.71, 0.96; unstratified log-rank p =0.011) in favor of SYLATRON. Figure 1 shows the Kaplan-Meier curves of RFS. FIGURE 1: Kaplan-Meier Curves for Relapse-Free Survival There was no statistically significant difference in survival between the SYLATRON and the observation arms. Based on 525 deaths, the estimated hazard ratio of SYLATRON versus observation was 0.98 (95% CI: 0.82, 1.16).

Find Lowest Prices on SYLATRON™ (peginterferon alfa-2b) WARNING DEPRESSION AND OTHER NEUROPSYCHIATRIC DISORDERS The risk of serious depression, with suicidal ideation and completed suicides, and other serious neuropsychiatric disorders are increased with alpha interferons, including SYLATRON. Permanently discontinue SYLATRON in patients with persistently severe or worsening signs or symptoms of depression, psychosis, or encephalopathy. These disorders may not resolve after stopping SYLATRON [see WARNINGS AND PRECAUTIONS and ADVERSE REACTIONS]. DESCRIPTION SYLATRON, peginterferon alfa-2b, is a covalent conjugate of recombinant alfa-2b interferon with monomethoxy polyethylene glycol (PEG). The average molecular weight of the PEG portion of the molecule is 12,000 daltons. The average molecular weight of the SYLATRON molecule is approximately 31,000 daltons. The specific activity of pegylated interferon alfa-2b is approximately 0.7 x 108 international units/mg protein. Interferon alfa-2b is a protein with a molecular weight of 19,271 daltons produced by recombinant DNA techniques. It is obtained from the bacterial fermentation of a strain of Escherichia coli bearing a genetically engineered plasmid containing an interferon gene from human leukocytes. Each vial contains either 296 mcg, 444 mcg or 888 mcg of peginterferon alfa-2b as a sterile, white to off-white lyophilized powder, and dibasic sodium phosphate anhydrous (1.11 mg), monobasic sodium phosphate dihydrate (1.11 mg), polysorbate 80 (0.074 mg), and sucrose (59.2 mg).

INDICATIONS SYLATRON™ is an alpha interferon indicated for the adjuvant treatment of melanoma with microscopic or gross nodal involvement within 84 days of definitive surgical resection including complete lymphadenectomy. DOSAGE AND ADMINISTRATION Recommended Dosing The recommended starting dose is 6 mcg/kg/week subcutaneously for 8 doses, followed by 3 mcg/kg/week subcutaneously for up to 5 years. Premedicate with acetaminophen 500 to 1000 mg orally 30 minutes prior to the first dose of SYLATRON and as needed for subsequent doses. The recommended starting doses of SYLATRON in patients with moderate or severe renal impairment or end-stage renal disease (ESRD) are listed in Table 1 [see Use In Specific Populations]. No dose adjustment is needed for patients with a creatinine clearance (CLcr) > 50 mL/min/1.73m² . Table 1: Recommended Starting Dose for Moderate and Severe Renal Impairment and End-Stage Renal Disease Degree of Renal Impairment Creatinine Clearance (mL/min/1.73m ) Initial doses for 8 weeks Follow-up doses for 5 years Moderate 30 - 50 4.5 mcg/kg/week 2.25 mcg/kg/week Severe < 30 3 mcg/kg/week 1.5 mcg/kg/week End-Stage Renal Disease On dialysis 3 mcg/kg/week 1.5 mcg/kg/week Dose Modification Guidelines Guidelines for Dose Modification provided below are based on the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE Version 2.0). Permanently discontinue SYLATRON for: Persistent or worsening severe neuropsychiatric disorders Grade 4 non-hematologic toxicity Inability to tolerate a dose of 1 mcg/kg/wk New or worsening retinopathy Withhold SYLATRON dose for any of the following: Absolute Neutrophil Count (ANC) less than 0.5x109/L Platelet Count (PLT) less than 50x109/L ECOG PS greater than or equal to 2 Non-hematologic toxicity greater than or equal to Grade 3 Resume dosing at a reduced dose (see Table 1) when all of the following are present: Absolute Neutrophil Count (ANC) greater than or equal to 0.5x109/L Platelet Count (PLT) greater than or equal to 50x109/L ECOG PS 0-1 Non-hematologic toxicity has completely resolved or improved to Grade 1 Table 2: SYLATRON Dose Modifications Starting Dose Dose Modifications for Doses 1 to 8 6 mcg/kg/week First Dose Modification: 3 mcg/kg/week Second Dose Modification: 2 mcg/kg/week Third Dose Modification: 1 mcg/kg/week Permanently discontinue if unable to tolerate 1 mcg/kg/week Starting Dose Dose Modifications for Doses 9 to 260 3 mcg/kg/week First Dose Modification: 2 mcg/kg/week Second Dose Modification: 1 mcg/kg/week Permanently discontinue if unable to tolerate 1 mcg/kg/week Preparation And Administration Reconstitute SYLATRON with 0.7 mL of Sterile Water for Injection, USP. Table 3: Reconstitution of SYLATRON Single-Use Vials SYLATRON Single-Use Vial Diluent (Sterile Water for Injection, USP) Deliverable Product and Volume Final Concentration 200 mcg* add 0.7 mL = 200 mcg in 0.5 mL 40 mcg/0.1 mL 300 mcg† add 0.7 mL = 300 mcg in 0.5 mL 60 mcg/0.1 mL 600 mcg‡ add 0.7 mL = 600 mcg in 0.5 mL 120 mcg/0.1 mL *Total vial content of SYLATRON is 296 mcg. †Total vial content of SYLATRON is 444 mcg. ‡Total vial content of SYLATRON is 888 mcg. Swirl gently to dissolve the lyophilized powder. DO NOT SHAKE. Visually inspect the solution for particulate matter and discoloration prior to administration. Discard if solution is discolored, cloudy, or if particulates are present. Do not withdraw more than 0.5 mL of reconstituted solution from each vial. Administer SYLATRON subcutaneously. Rotate injection sites. If reconstituted solution is not used immediately, store at 2°-8°C (36°-46°F) for no more than 24 hours. Discard reconstituted solution after 24 hours. DO NOT FREEZE. For single-use only. DISCARD ANY UNUSED PORTION. HOW SUPPLIED Dosage Forms And Strengths 200 mcg of deliverable lyophilized powder per single-use vial 300 mcg of deliverable lyophilized powder per single-use vial 600 mcg of deliverable lyophilized powder per single-use vial Storage And Handling Each SYLATRON Package Contains: A box containing one 200 mcg per vial of SYLATRON powder and one 1.25 mL vial of Sterile Water for Injection, USP, 2 B-D Safety Lok syringes with a safety sleeve and 2 alcohol swabs. (NDC 0085-1388-01) A box containing one 300 mcg per vial of SYLATRON powder and one 1.25 mL vial of Sterile Water for Injection, USP, 2 B-D Safety Lok syringes with a safety sleeve and 2 alcohol swabs. (NDC 0085-1287-02) A box containing one 600 mcg per vial of SYLATRON powder and one 1.25 mL vial of Sterile Water for Injection, USP, 2 B-D Safety Lok syringes with a safety sleeve and 2 alcohol swabs. (NDC 0085-1312-01) Each SYLATRON PACK 4 Contains: A box containing four 200 mcg per vial of SYLATRON powder and four 1.25 mL vials of Sterile Water for Injection, USP, 8 B-D Safety Lok syringes with a safety sleeve and 8 alcohol swabs. (NDC 0085-1388-02) A box containing four 300 mcg per vial of SYLATRON powder and four 1.25 mL vials of Sterile Water for Injection, USP, 8 B-D Safety Lok syringes with a safety sleeve and 8 alcohol swabs. (NDC 0085-1287-03) Storage SYLATRON should be stored at 25°C (77°F); excursions permitted to 15°-30°C (59-86°F) [see USP Controlled Room Temperature]. DO NOT FREEZE. Manufactured by: Schering Corporation, a subsidiary of MERCK & CO., INC., Whitehouse Station, NJ 08889, USA. Revised: May 2015.

PATIENT INFORMATION SYLATRON™ (SY-LA-TRON) (Peginterferon alfa-2b) Read this Medication Guide before you start taking SYLATRON, and each time you get a refill. There may be new information. This Medication Guide does not take the place of talking with your healthcare provider about your medical condition or your treatment. What is the most important information I should know about SYLATRON? SYLATRON can cause serious mental health problems which can lead to suicide. SYLATRON may cause you to develop mood or behavior problems that may get worse during treatment with SYLATRON or after your last dose. Call your healthcare provider right away if you, your family, or caregiver notice any of the following: irritability (getting upset easily) depression (feeling low, feeling bad about yourself, or feeling hopeless) aggressive behavior, being angry or violent thoughts of hurting yourself or others, or suicide Former drug addicts may fall back into drug addiction or overdose. If you have these symptoms, your healthcare provider should carefully monitor you during treatment with SYLATRON and for 6 months after your last dose. If symptoms get worse or become severe and continue, your healthcare provider may tell you to stop taking SYLATRON permanently. These signs or symptoms may not go away after you stop taking SYLATRON. See “What are the possible side effects of SYLATRON?” for more information about side effects. What is SYLATRON? SYLATRON is a prescription medicine that is used to prevent malignant melanoma (a kind of skin cancer) from coming back after it has been removed by surgery. SYLATRON should be started within 84 days of surgery to remove lymph nodes containing cancer. It is not known if SYLATRON is safe and effective in children less than 18 years of age. Who should not take SYLATRON? Do not take SYLATRON: if you have had a serious allergic reaction to peginterferon alfa-2b or to interferon alfa-2b if you have certain types of hepatitis if you have severe liver damage What should I tell my healthcare provider before taking SYLATRON? Before you take SYLATRON, tell your healthcare provider about all of your health problems, including if you: are being treated for a mental illness or had treatment in the past for mental illness, including depression or thoughts of hurting yourself or others or suicide attempts. See “What is the most important information I should know about SYLATRON?” have liver damage from drugs or cirrhosis or other liver disease have kidney problems or are receiving kidney dialysis treatment have ever been addicted to drugs or alcohol have or had an overactive or underactive thyroid gland have diabetes have any other medical problem(s) are pregnant or plan to become pregnant. It is not known if SYLATRON will harm your unborn baby. are breastfeeding or plan to breastfeed. You and your healthcare provider should decide if you should use SYLATRON or breastfeed. You should not do both. Tell your healthcare provider about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. SYLATRON and certain other medicines may affect each other and cause side effects. Know the medicines you take. Keep a list of them to show your healthcare provider and pharmacist each time you get a new medicine. You should not start a new medicine before your talk with the healthcare provider who prescribes you SYLATRON. How should I take SYLATRON? Take SYLATRON exactly as your healthcare provider tells you to. Your healthcare provider will tell you how much SYLATRON to take and when to take it. Do not take more than your prescribed dose. Call your healthcare provider right away if you take too much SYLATRON. Inject SYLATRON one time each week unless instructed differently by your healthcare provider. Call your healthcare provider for instructions if you miss a dose. SYLATRON is given as an injection under your skin (subcutaneous injection). Your healthcare provider should show you how to prepare and measure your dose of SYLATRON, and how to inject yourself before you use SYLATRON for the first time. Expect to get “flu-like” symptoms when taking SYLATRON. To help reduce flu-like symptoms: You should take 500 mg to 1,000 mg of acetaminophen 30 minutes before your first dose of SYLATRON. Follow your healthcare provider's instructions about taking acetaminophen before future doses of SYLATRON. Inject SYLATRON at bedtime to help reduce flu-like symptoms. Drink plenty of fluids. Your healthcare provider should do blood tests before you start and regularly during treatment with SYLATRON. Your healthcare provider will monitor you while taking SYLATRON. Based on this monitoring, your healthcare provider may: Keep your prescribed dose the same; Reduce your prescribed dose; Tell you to skip a dose or doses; or Tell you to stop taking SYLATRON permanently. What are the possible side effects of SYLATRON? SYLATRON can cause serious side effects or worsen existing problems, including: See “What is the most important information I should know about SYLATRON?”. Heart problems. Signs and symptoms can include: fast heart rate or abnormal heart beat trouble breathing or chest pain Serious eye problems. Symptoms can include: decrease in vision blurred vision Severe or worsening liver problems. Symptoms can include: yellowing of your skin or the white part of your eyes swelling of your stomach area (abdomen) Thyroid problems. Signs and symptoms can include: problems concentrating feeling cold or hot all of the time weight changes High blood sugar (diabetes). Signs and symptoms can include: increased thirst urinating more often than normal weight loss your breath smells like fruit Call your healthcare provider right away if you have any of these serious side effects. The most common side effects of SYLATRON include: flu-like symptoms, which may include fever, headache, tiredness, muscle or joint aches, chills, nausea, or loss of appetite feeling sad or depressed redness, swelling, or itching around the injection site changes in blood tests measuring how your liver works These are not all of the possible side effects of SYLATRON. For more information, ask your healthcare provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1–800–FDA–1088. You may also report side effects to Schering Corporation at 1-800-526-4099. How should I store SYLATRON? Store SYLATRON vials in the carton at 59°F to 86°F (15°C to 30°C). After mixing, use SYLATRON right away or store it in the refrigerator for no longer than 24 hours at 36°F to 46°F (2°C to 8°C). Do not freeze SYLATRON. Keep SYLATRON and all medicines out of the reach of children. General information about the safe and effective use of SYLATRON Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Do not use SYLATRON for a condition for which it was not prescribed. Do not give SYLATRON to other people, even if they have the same symptoms that you have. It may harm them. This Medication Guide summarizes the most important information about SYLATRON. If you would like more information, talk with your healthcare provider. You can ask your healthcare provider for information about SYLATRON that is written for healthcare professionals. For more information, go to www.SYLATRON.com or call 1-800-526-4099. What are the ingredients in SYLATRON? Active ingredient: peginterferon alfa-2b Inactive ingredients: dibasic sodium phosphate anhydrous, monobasic sodium phosphate dihydrate, polysorbate 80, sucrose, sterile water for injection is supplied as a diluent. This Medication Guide has been approved by the U.S. Food and Drug Administration.

SIDE EFFECTS The following serious adverse reactions are discussed in greater detail in other sections of the labeling: Depression and Other Neuropsychiatric Adverse Reactions [see WARNINGS AND PRECAUTIONS] Cardiovascular Adverse Reactions [see WARNINGS AND PRECAUTIONS] Retinopathy and Other Serious Ocular Adverse Reactions [see WARNINGS AND PRECAUTIONS] Hepatic Failure [see WARNINGS AND PRECAUTIONS] Endocrinopathies [see WARNINGS AND PRECAUTIONS] Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in clinical practice. The data described below reflect exposure to SYLATRON in 608 patients with surgically resected, AJCC Stage III melanoma. SYLATRON was studied in an open label, multicenter, randomized, observation controlled trial. The median age of the population was 50 years with 10% of patients 65 years or older, and 42% were female. Fourteen percent of patients completed the 5 year treatment schedule. Patients randomized to SYLATRON were to receive total doses of 48 mcg/kg (6 mcg/kg subcutaneous once weekly for 8 doses), and 780 mcg/kg (3 mcg/kg subcutaneous once weekly until disease recurrence or for up to 5 years), as tolerated. The median total dose received was 42 mcg/kg (range: 6 to 78 mcg/kg) for the first 8 doses, and 136 mcg/kg (range: 1 to 774 mcg/kg) for doses 9 to 260. Serious adverse events were reported in 199 (33%) patients who received SYLATRON and 94 (15%) patients in the observation group. The most common adverse reactions experienced by SYLATRON-treated patients were fatigue (94%), increased ALT (77%), increased AST (77%), pyrexia (75%), headache (70%), anorexia (69%), myalgia (68%), nausea (64%), chills (63%), and injection site reaction (62%). The most common serious adverse reactions were fatigue (7%), increased ALT (3%), increased AST (3%), and pyrexia (3%) in the SYLATRON-treated group vs. < 1% in the observation group for these reactions. Thirty three percent of patients receiving SYLATRON discontinued treatment due to adverse reactions. The most common adverse reactions present at the time of treatment discontinuation were fatigue (27%), depression (17%), anorexia (15%), increased ALT (14%), increased AST (14%), myalgia (13%), nausea (13%), headache (13%), and pyrexia (11%). Adverse events that occurred in the clinical study at ≥ 5% incidence in the SYLATRON-treated group and with a greater incidence in patients receiving SYLATRON as compared to the observation group are presented in Table 3. Table 4: Incidence of Adverse Reactions(*) Occurring in ≥ 5% of Melanoma Patients Treated with SYLATRON and with a Greater Incidence as Compared to Observation Adverse Reaction SYLATRON N=608 Observation N=628 All Grades (%) Grade 3 and 4 (%) All Grades (%) Grade 3 and 4 (%) Any Adverse Reaction 100 51 82 18 General Disorders and Administrative Site Conditions Fatigue 94 16 41 1 Pyrexia 75 4 9 0 Chills 63 1 6 0 Injection Site Reaction 62 1.8 0 0 Metabolic/Laboratory ALT or AST Increased 77 11 26 1 Blood Alkaline Phosphatase Increased 23 0 11 < 1 Weight Decreased 11 < 1 1 < 1 GGT Increased 8 4 1 < 1 Proteinuria 7 0 3 0 Anemia 6 < 1 2 < 1 Nervous System Disorders Headache 70 4 19 1 Dysgeusia 38 0 1 0 Dizziness 35 2 11 < 1 Olfactory Nerve Disorder 23 0 1 0 Paraesthesia 21 < 1 14 < 1 Metabolism and Nutrition Disorders Anorexia 69 3 13 0 Musculoskeletal and Connective Tissue Disorders Myalgia 68 4 23 < 1 Arthralgia 51 3 22 1 Gastrointestinal Disorders Nausea 64 3 11 < 1 Diarrhea 37 1 8 < 1 Vomiting 26 1 4 0 Psychiatric Disorders Depression 59 7 24 < 1 Skin and Subcutaneous Tissue Disorders Exfoliative Rash 36 1 4 0 Alopecia 34 0 1 0 Respiratory, Thoracic and Mediastinal Disorders Dyspnea 6 1 2 1 Cough 5 < 1 2 0 * Adverse reactions were graded using NCI CTCAE, V.2.0. Immunogenicity As with all therapeutic proteins, there is potential for immunogenicity. In a clinical study conducted in patients with melanoma, the incidence of binding antibodies to peg-interferon alfa-2b was approximately 35% (50/144 patients). Among the patients who tested positive for binding antibodies, one patient developed neutralizing antibodies. The impact of antibody formation on pharmacokinetics, safety and efficacy of peg-interferon alfa-2b could not be assessed based on limited available data. The incidence of antibody formation is highly dependent on the sensitivity and specificity of the assay. Additionally, the observed incidence of antibody (including neutralizing antibody) positivity in an assay may be influenced by several factors, including assay methodology, sample handling, timing of sample collection, concomitant medications, and underlying disease. For these reasons, comparison of the incidence of antibodies to SYLATRON with the incidence of antibodies to other products may be misleading. Postmarketing Experience The following adverse reactions have been identified during post-approval use of peginterferon alfa-2b as monotherapy and in combination with ribavirin in chronic hepatitis C (CHC) patients. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure. Blood and Lymphatic System Disorders pure red cell aplasia, thrombotic thrombocytopenic purpura Ear and Labyrinth Disorders hearing loss, vertigo, hearing impairment Endocrine Disorders diabetic ketoacidosis Eye Disorders Vogt-Koyanagi-Harada syndrome Gastrointestinal Disorders aphthous stomatitis, pancreatitis, colitis Infusion Reactions angioedema, urticaria, bronchoconstriction Immune System Disorders systemic lupus erythematosus, erythema multiforme, thyroiditis, thrombotic thrombocytopenic purpura, idiopathic thrombocytopenic purpura, rheumatoid arthritis, interstitial nephritis, and systemic lupus erythematosus Infections sepsis Metabolism and Nutrition Disorders hypertriglyceridemia Musculoskeletal and Connective Tissue Disorders rhabdomyolysis, myositis Nervous System Disorders seizures, memory loss, peripheral neuropathy, paraesthesia, migraine headache Respiratory, Thoracic and Mediastinal Disorders dyspnea, pulmonary infiltrates, pneumonia, bronchiolitis obliterans, interstitial pneumonitis, sarcoidosis, pulmonary hypertension, and pulmonary fibrosis Skin and Subcutaneous Tissue Disorders Stevens-Johnson syndrome, toxic epidermal necrolysis, psoriasis Vascular Disorders hypertension, hypotension, stroke DRUG INTERACTIONS Peginterferon alfa-2b inhibits CYP1A2 and CYP2D6 activity. When caffeine (CYP1A2 substrate) or desipramine (CYP2D6 substrate) was coadministered with peginterferon alfa-2b (3 mcg/kg once weekly for two weeks), the exposure to caffeine increased 36% and the exposure to desipramine increased 30% as compared to when caffeine or desipramine was administered alone. Monitor for potential increased toxicities of drugs with a narrow therapeutic range metabolized by CYP1A2 or CYP2D6 when coadministered with SYLATRON. [See CLINICAL PHARMACOLOGY]

WARNINGS Included as part of the PRECAUTIONS section. PRECAUTIONS Depression And Other Serious Neuropsychiatric Adverse Reactions Peginterferon alfa-2b can cause life-threatening or fatal neuropsychiatric reactions. These include suicide, suicidal and homicidal ideation, depression, and an increased risk of relapse of recovering drug addicts. In the clinical trial, depression occurred in 59% of SYLATRON-treated patients and 24% of patients in the observation group. Depression was severe or life threatening in 7% of SYLATRON-treated patients compared with < 1% of patients in the observation arm. In post-marketing experience, neuropsychiatric adverse reactions have been reported up to 6 months after discontinuation of peginterferon alfa-2b. Based on post-marketing experience with peginterferon alfa-2b and interferon alfa-2b, treatment may also result in aggressive behavior, psychoses, hallucinations, bipolar disorders, mania, and encephalopathy. Advise patients and their caregivers to immediately report any symptoms of depression or suicidal ideation to their healthcare provider. Monitor and evaluate patients for signs and symptoms of depression and other psychiatric symptoms every 3 weeks during the first 8 weeks of treatment and every 6 months thereafter. Monitor patients during treatment and for at least 6 months after the last dose of SYLATRON. Permanently discontinue SYLATRON for suicidal or homicidal ideation, aggressive behavior towards others, or other severe or persistent psychiatric symptoms; institute psychiatric intervention and follow-up as appropriate. Cardiovascular Adverse Reactions In the clinical trial, cardiac adverse reactions, including myocardial infarction, bundle-branch block, ventricular tachycardia, and supraventricular arrhythmia occurred in 4% of SYLATRON-treated patients compared with 2% of patients in the observation group. In post-marketing experience, hypotension, cardiomyopathy, and angina pectoris have occurred in patients treated with peginterferon alfa-2b. Permanently discontinue SYLATRON for new onset of ventricular arrhythmia or cardiovascular decompensation. Retinopathy And Other Serious Ocular Adverse Reactions Peginterferon alfa-2b can cause decrease in visual acuity or blindness due to retinopathy. Retinal and ocular changes include macular edema, retinal artery or vein thrombosis, retinal hemorrhages and cotton wool spots, optic neuritis, papilledema, and serous retinal detachment may be induced or aggravated by treatment with peginterferon alfa-2b or other alpha interferons. In the clinical study, two SYLATRON-treated patients developed partial loss of vision due to retinal thrombosis (n=1) or retinopathy (n=1). The overall incidence of serious retinal disorders, visual disturbances, blurred vision, and reduction in visual acuity was < 1% in both SYLATRON-treated patients and the observation group. Perform an eye examination that includes assessment of visual acuity and indirect ophthalmoscopy or fundus photography at baseline in patients with preexisting retinopathy and at any time during SYLATRON treatment in patients who experience changes in vision. Permanently discontinue SYLATRON in patients who develop new or worsening retinopathy. Hepatic Failure Peginterferon alfa-2b, increases the risk of hepatic decompensation and death in patients with cirrhosis. Monitor hepatic function with serum bilirubin, ALT, AST, alkaline phosphatase, and LDH at 2 and 8 weeks, and 2 and 3 months following initiation of SYLATRON, then every 6 months while receiving SYLATRON. Permanently discontinue SYLATRON for evidence of severe (Grade 3) hepatic injury or hepatic decompensation (Child-Pugh score > 6 [class B and C]) [see CONTRAINDICATIONS]. Endocrinopathies Peginterferon alfa-2b can cause new onset or worsening of hypothyroidism, hyperthyroidism, and diabetes mellitus. In the clinical study, 1% of patients developed hypothyroidism; the overall incidence of endocrine disorders was 2% in SYLATRON-treated patients compared to < 1% for patients in the observation group. Obtain TSH levels within 4 weeks prior to initiation of SYLATRON, at 3 and 6 months following initiation, then every 6 months thereafter while receiving SYLATRON. Permanently discontinue SYLATRON in patients who develop hypothyroidism, hyperthyroidism or diabetes mellitus that cannot be effectively managed. Patient Counseling Information See FDA-approved patient labeling (Instructions for Use and Medication Guide). Advise patients that SYLATRON may be administered with antipyretics at bedtime to minimize common “flu-like” symptoms (including chills, fever, muscle aches, joint pain, headaches, tiredness). Advise patients to maintain hydration if experiencing “flu-like” symptoms. Advise patients and their caregivers to immediately report any symptoms of depression or suicidal ideation to their healthcare provider during treatment and up to 6 months after the last dose. Use SYLATRON during pregnancy only if the potential benefit justifies the potential risk to the fetus [see Use In Specific Populations]. Instruct patients to not re-use or share syringes and needles. Instruct patients on proper disposal of vials, syringes and needles. Nonclinical Toxicology Carcinogenesis, Mutagenesis, Impairment Of Fertility Carcinogenesis and Mutagenesis SYLATRON has not been tested for its carcinogenic potential. Neither peginterferon alfa-2b nor its components, interferon or methoxypolyethylene glycol, caused damage to DNA when tested in the standard battery of mutagenesis assays, in the presence and absence of metabolic activation. Impairment of Fertility SYLATRON may impair human fertility. Irregular menstrual cycles were observed in female cynomolgus monkeys given subcutaneous injections of 4239 mcg/m²peginterferon alfa-2b alone every other day for 1 month (approximately 72 to 144 times the recommended weekly human dose based upon body surface area). These effects included transiently decreased serum levels of estradiol and progesterone, suggestive of anovulation. Normal menstrual cycles and serum hormone levels resumed in these animals 2 to 3 months following cessation of peginterferon alfa-2b treatment. Every other day dosing with 262 mcg/m²(approximately 3.5 to 7 times the recommended weekly human dose) had no effects on cycle duration or reproductive hormone status. The effects of SYLATRON on male fertility have not been studied. Use In Specific Populations Pregnancy Pregnancy Category C There are no adequate and well-controlled studies of SYLATRON in pregnant women. Nonpegylated interferon alfa-2b was an abortifacient in Macaca mulatta (rhesus monkeys) at 15 and 30 million international units (IU)/kg (estimated human equivalent of 5 and 10 million IU/kg, based on body surface area adjustment for a 60-kg adult). The estimated Intron A human equivalent dose of 5 to 10 million IU/kg daily is approximately equal to a human equivalent dose of 79 to 158 mcg/kg/week of SYLATRON. Use SYLATRON during pregnancy only if the potential benefit justifies the potential risk to the fetus. Nursing Mothers It is not known whether the components of SYLATRON are excreted in human milk. Studies in mice have shown that mouse interferons are excreted in breast milk. Because of the potential for adverse reactions from the drug in nursing infants, a decision must be made whether to discontinue nursing or discontinue the SYLATRON treatment, taking into account the importance of the therapy to the mother. Pediatric Use Safety and effectiveness in patients below the age of 18 years have not been established. Geriatric Use Clinical studies of SYLATRON did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Hepatic Impairment SYLATRON has not been studied in patients with melanoma who have hepatic impairment. In patients treated for viral hepatitis, peginterferon alfa-2b treatment is contraindicated in those with moderate or severe hepatic impairment (Child-Pugh scores > 6). Discontinue SYLATRON if hepatic decompensation (Child-Pugh scores > 6) occurs during treatment. [See CONTRAINDICATIONS and WARNINGS AND PRECAUTIONS] Renal Impairment Reduce the dose of SYLATRON by 25% in patients with moderate renal impairment (CLcr 30 to 50 mL/min/1.73m²) and 50% in patients with severe renal impairment (CLcr < 30 mL/min/1.73m²) or ESRD requiring dialysis [see DOSAGE AND ADMINISTRATION]. A study in subjects with varying degrees of renal impairment showed that the mean exposure (AUC) to peginterferon alfa-2b increased in subjects with moderate and severe renal impairment or ESRD requiring dialysis, as compared to subjects with normal renal function (CLcr > 80 mL/min/1.73m²) following a single 4.5 mcg/kg dose of peginterferon alfa-2b [see CLINICAL PHARMACOLOGY].